Healthcare Provider Details

I. General information

NPI: 1659356061
Provider Name (Legal Business Name): VISITING NURSE SERVICES OF WESTERN MICHIGAN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 10/29/2024
Certification Date: 10/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 E BELTLINE AVE NE
GRAND RAPIDS MI
49525-4501
US

IV. Provider business mailing address

1401 CEDAR STREET NE
GRAND RAPIDS MI
49503
US

V. Phone/Fax

Practice location:
  • Phone: 616-486-3900
  • Fax: 616-486-3999
Mailing address:
  • Phone: 616-486-3900
  • Fax: 616-643-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMI

VIII. Authorized Official

Name: MATTHEW E COX
Title or Position: VP FINANCE
Credential:
Phone: 616-391-1663